Individual
DR. JEFFREY J BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1802 N. DIVISION ST., SUITE 205, MORRIS, IL 60450
(815) 942-3042
Mailing address
200 W DAKOTA ST, SPRING VALLEY, IL 61362-1906
(815) 663-8281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46-6809
IL
Other
Enumeration date
01/19/2007
Last updated
03/23/2021
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